昔与今管道镜检查值得么？（英文版）.pdf

1、Then&Now,was borescoping worth itName:Frank Daniels Affiliation:VCU HealthVCU HealthOne college Four health sciences schoolsAcademic medical centerLevel I trauma centerFull-service childrens hospital800+physicians 200+specialtiesBackground Centralized all flexible to one department Started in 2012 5

2、 strategically placed rooms 511 different flexible scopes A total of 71 different flexible scope models Two years to be certified(CER,CFER)All staff must attend entry class Initial training is 6-8 months.Patient VolumeInpatient Discharges 42,260ER Visits 110,231Out Patient Visits 1,080,313Total Surg

3、eries 30,989Newborn Deliveries 3,052Trauma Admissions 4,333Staffing/Equipment Fully Staffed 33 4 Equipment Technicians 1 Supervisor 1 Coordinator 1 Manager 26 HLD Technicians Assistant Technician Technician Senior Technician Equipment AERs 33 Sterilizers 4 Drying Cabinets 23 Automated Leak Testers 1

4、2 Automated Flushing Devices 12 Borescopes 6Scope TypesGI Models of Flexible ScopesColonoscopeSigmoidoscopeGastroscopeEnteroscopeDuodenoscopeEUS LinearEUS RadialOther Models of Flexible ScopesUreteroscopeCystoscopeBronchoscopeEBUSLaryngoscopeCholedochoscopeVentriculoscopePleurascopeIntubation scopeB

5、orescopeWhat is a borescope?200,000 inspectionsWas it necessary?BeforeUreteroscopeBronchoscope(therapeutic)Badly DamagedVentriculoscopeVentriculoscopeBadly DamagedEBUSEBUSBent ChannelCystoscopeCystoscopeUreteroscopePeelingGastroscopeCystoscopeUreteroscopeSeparationEBUSEBUSGastroscopeDebrisGastroscop

6、e(therapeutic)GastroscopeUreteroscopeDamaged ScopeTherapeutic BronchoscopePhysical DamagePublished StudyCost AnalysisDecreased almost$500KDecreased$2KMajor Repairs DecreasedRepairsOverall StatsDamaged through routine inspections18.8%to 7.4%